Information

  • Document No.

  • Audit Title

  • Client / Site (displayed on first page)

  • Conducted on

  • Prepared by

More than one auditor?

  • Additional auditors

  • Activity being undertaken

  • Estimated daily traffic volume (vehicles per day)

  • Clearance between workers and traffic (metres)

  • Permanent traffic speed through area (km/h)

  • Worksite traffic speed (km/h)

ADVANCE WARNING / SIGNAGE

  • Are all roadworks signs and devices installed according to the traffic management plan?

  • Have any contradictory, distracting or superfluous signs or markings been covered up or removed?

  • Are signs appropriate for current conditions? (e.g. symbolic worker signs not displayed / not visible when no workers on site; road condition signs after worksite vacated)

  • Is signage suitably placed, especially for vehicles approaching at high speed? (e.g. check sight distance; advance warning sign distance; height of signs above ground; vehicle queue length not beyond signage; check potential ‘end-of-queue’ issues)

  • Are multi-message signs being used correctly?

  • Are the signs free from damage and defect? (e.g. easy to read; check shadow & glare issues)

  • Are sign mountings secure, stable and not a hazard to road users if struck?

  • Are signs in pairs where needed? (Note: recommended on high speed high volume roads and multi-lane roads)

  • Are flashing arrows signs available and in use where required?

  • Are sign sizes correct?

WORKSITE

  • High visibility clothing appropriate for conditions and used and worn correctly? (e.g. day/night; meet AS4602-1999 and AS1906.4-1997; clean; fastened; personnel visible)

WORKZONE SEPARATION

  • Are clearances between workers and adjacent traffic being maintained?

  • Have safety barriers (where used) been installed correctly? (e.g. units connected; recommended length, proper end treatment installed; water filled where required; correct rating for speed zone; ‘no-go’ zones observed)

  • Has containment fence been installed where required? (e.g. workers/pedestrians/cyclists separation)

OTHER ROAD USERS

  • Has possible traffic congestion been considered and steps taken to avoid it?

  • Have the effects of the works on public transport been considered?

  • Have needs of other road users been provided for (e.g. pedestrians, cyclists, wheelchairs)?

  • Has proper access to side roads and properties been provided?

  • Actions required?
  • Action?

  • Allocated to?

  • By date

  • Signed PoMC Representative:

  • Signed Principal Contractor Representative (optional):

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.